| NPI | 1649690744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 9529171-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9529171-1205) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 9529171-1205) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: ID M-16063) | |
| 208000000X Pediatrics (Licence: UT 9529171-1205) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-03-24 |